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EMCrit Project

Online Medical Education on Emergency Department (ED) Critical Care, Trauma, and Resuscitation

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Podcast 63 – A Pain in the Neck – Part I

December 25, 2011 by Scott Weingart, MD FCCM 52 Comments

In this episode, I discuss the diagnosis of c-spine injuries. I argue that we should not send patients to imaging unless we have used the NEXUS rule and then added the Canadian C-spine Rule to the sequence. If we are imaging, it should be with a 3-view reconstructed CT scan. And even after that is done, you still need a clearance exam before removing the collar.

Podcast 62 – Needle vs. Knife II: Needle Thoracostomy?

December 11, 2011 by Scott Weingart, MD FCCM 65 Comments

In this podcast, I explain why I don’t think needle compression is such a clever idea. Main points are: most people can’t find anterior target, most angiocaths won’t reach, and if used diagnostically you may not be in the pleura leading to an unidentified pneumo or hemothorax. Also, when used diagnostically, if the chest was negative you just caused a pneumothorax.

Hemostatic Resuscitation by Richard Dutton, MD

June 11, 2011 by Scott Weingart, MD FCCM 37 Comments

Richard Dutton is a trauma anesthesiologist who was one of the primary formulators of the concept of 1:1:1 resuscitation. Here he is speaking on hemostatic resuscitation.

EMCrit Podcast 41 – Interview with Cliff Reid of RESUS.me

February 14, 2011 by Scott Weingart, MD FCCM 27 Comments

I was lucky to cajole Cliff Reid of the amazing blog, resus.me on to the EMCrit program. Cliff is truly a doc after my own heart as you will hear from the cast.

EMCrit Podcast 36 – Traumatic Arrest

December 4, 2010 by Scott Weingart, MD FCCM 57 Comments

Management of traumatic arrest. Many things to do in these patients, but two things you definitely should not be doing are closed-chest CPR or giving ACLS medications. We discuss who gets a thoracotomy, what to do if a thoracotomy is not indicated, and when to stop.

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